Timothy W. Moon,do, PLLC
NPI 1194945410 · Family Medicine Physician · Gouverneur, NY
Timothy W. Moon,do, PLLC is a Family Medicine Physician organization in Gouverneur, NY (NPI 1194945410).
Provider details
- NPI number
- 1194945410
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Moon, President(315) 486-2987
- License
- 224227 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2011-11-10
Frequently asked questions
- What is Timothy W. Moon,do, PLLC's NPI number?
- Timothy W. Moon,do, PLLC's National Provider Identifier (NPI) is 1194945410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy W. Moon,do, PLLC?
- Timothy W. Moon,do, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy W. Moon,do, PLLC located?
- Timothy W. Moon,do, PLLC's practice location on file with NPPES is 77 W Barney St, Gouverneur, NY 13642-1040.
- What is Timothy W. Moon,do, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Timothy W. Moon,do, PLLC is (315) 287-3285.
- Who is the authorized official for Timothy W. Moon,do, PLLC?
- The authorized official listed on Timothy W. Moon,do, PLLC's NPPES record is Timothy Moon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy W. Moon,do, PLLC's NPI active?
- Yes — Timothy W. Moon,do, PLLC's NPI (1194945410) is active in the NPPES registry as of the last update on 2011-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.